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1991, 06-17 Permit App 91003381 FurnaceMECHANICAL PERMIT APPLICATION FORM / Information Worksheet S. JOB STREET ADDRESS: /(/C CITY/STATE/ZIP:/,,, 7���j�/ii, G� ?-'/-Z PARCEL NUMBER: OWNER: /1�/1 C (/V/2/V PHONE NUMBER: - --33 330Z 7 MAILING ADDRESS: \,S. /Lf lG 0/7117/e) 6,4f//1%W (Street) (City/State) CONTRACTOR: LICENSE NUMBER: MAILING ADDRESS: (Zip) PHONE NUMBER: (Street) (City/State) MECHANICAL WORKSHEET/FEE SCHEDULE DESCRIPTION ELECTRIC/DUCTWORK (SEPARATE SYSTEMS) WOODSTOVEIiNSERT GAS WATER HEATER GAS EQUIPMENT ',;<100,000 BTU (INC:LUDES GAS EQUIPMENT +100,000 BTU DUCTWORK) .......... ... ........................... GAS PIPING (EA OUTLET) BOILER/REFRIG 1-100M BTU BOI LER/REPRIG:.1.01-500M .BTU BOILER/REFRIG 501-1,000M BTU BOILER/REFRIG 1; 0007=1;750M BTU;: BOILER/REFRIG +1,750M BTU HEAT PUMP & AIR CONDITIONER 0=3 TONS HEAT PUMP & AIR CONDITIONER 3-15 TONS HEAT PUMP. & AIR CONDITIONER'15730 TONS HEAT PUMP & AIR CONDITIONER 30-50 TONS HEAT PUMP &'AIR CONDITIONER+50 TONS..: VENTILATING FANS EVAPORATIVE COOLER S;: TYPE I HOOD (PER 12' OR 12' PIN. OF HOOD) TYPE If HOOD CLOTHES DRYER RANGE GAS LOG MISCELLANEOUS (NOT COVERED ELSEWHERE UNLISTED GAS APPLIANCE <400,000 BTU ULINSTED GAS APPLIANCE >400,000 BTU USED APPLIANCE <400,000 BTU USED APPLIANCE >400,000,BTU AIR HANDLER <10,000 CFM AIR HANDLER >10,000 CFM NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE (Zip) NUMBER OF UNITS X EACH UNIT = AMOUNT x 10.00 = x25.00 = x 10.00 = x 12.00 = x 15.00 = x 1.00 = x 12.00 = x20.00 = x 25.00 = x35.00 = x 60.00 = x 12.00 = x 20.00 = x 25.00 = x 35.00 = x 60.00 = x 10.00 = x 10.00 = x 50.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 10.00 = x 50.00 = x100.00 = x 50.00 = x100.00 = x 12.00 = x 15.00 = 1 SUBTOTAL $ PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = S Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675 PLUMBING PERMIT APPLICATION FORM Information Worksheet JOB STREET ADDRESS: CITY/STATE/ZIP: PARCEL NUMBER: OWNER: PHONE NUMBER: MAILING ADDRESS: (Street) (City/State) (Zip) CONTRACTOR: LICENSE NUMBER: PHONE NUV::BER: MAILING ADDRESS: (Street) (City/State) (Zip) PLUMBING WORKSHEET/FEE SCHEDULE DESCRIPTION TOILETS SINKS: SHOWERS .................................................................. BATH TUBS: KITCHEN SINKS ............................. DISH .WASHERS GARBAGE DISPOSAL ................................................................ . . CLOTHES<WASHER UTILITY SINKS ........................................ ELECTRIC:WATER HEATERS FLOOR DRAINS FLOOR SINKS:.. BAR SINKS .............................................. ROOF'€DRAINS LAWN SPRINKLER ......:................................................... . SEWAGE`: EJECTOR WATER SOFTENER ................................................ URINAL DRINKING FOUNTAIN NOTE: MINIMUM PERMIT FEE IS $35.00 SIGNATURE NUMBER OF UNITS X EACH UNIT = AMOUNT x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x6.00 = x 6.00 = x6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = x 6.00 = SUBTOTAL S PLUS: PROCESSING FEE + $ 25.00 EQUALS: TOTAL PERMIT FEE DUE = S Spokane County Division of Buildings West 1303 Broadway Avenue Spokane, WA 99260 (509) 456-3675